Veterans Administration Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

SP2055 Issued in OH

Legal business name

VETERANS ADMINISTRATION MEDICAL CENTER

Practice address

4100 W 3Rd St
#117A-Speech Clinic
Dayton, OH 45428-9000

Phone

(937) 262-2148

Fax

(937) 267-5322

NPI assigned

Aug 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Van Winkle, PH.D

Title

Rehab Careline Manager

Phone

(937) 268-6511

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Jean Williams, CCC/SLP

  • Speech-Language Pathologist
  • Dayton, OH
  • NPI 1619061272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689782302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 AFTON DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151436",
            "telephone_number": "937-454-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 3RD ST",
            "address_2": "#117A-SPEECH CLINIC",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "937-262-2148",
            "fax_number": "937-267-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN WINKLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "REHAB CARELINE MANAGER",
        "authorized_official_telephone_number": "937-268-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "SP2055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Verstraten
• Amy M Vervalin, LPN
• Verzatile Life
• Shania Vestal
• Veteran's Administration
• Veterans Affairs Medical Center
• Garrhett Glenn Via, MD
• Edna Santos Vianzon, M.D.
• Viaquest Home Health LLC
• Anastacia Viau

• General Acute Care Hospital in Dayton, OH
• Providers in Dayton, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.